SUSAN ANN VITALE

HAUPPAUGE, NY
NPI1134205750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  300786-1)
Enumeration Date2006-10-27
Last Update Date2007-07-08
Business Address
-- SUSAN ANN VITALE
120 PLANT AVE
HAUPPAUGE, NY 11788-3805
Phone number: 631-851-3810
Mailing Address
-- SUSAN ANN VITALE
120 PLANT AVE
HAUPPAUGE, NY 11788-3805
Phone number: 631-851-3810
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